Organization · Type 2 NPI
Carolina Roots Dentistry LLC
Dental Clinic/Center · Indian Land, SC
NPI number
1750958666
Active
Practice location
9905 Calvin Hall Road, 100
Indian Land, SC 29707
Mailing address
2038 Country Manor Dr
Mount Pleasant, SC 29466-7410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1750958666
Carolina Roots Dentistry LLC's National Provider Identifier is 1750958666, issued on Jun 9, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Indian Land, SC. The record was last updated on Jun 9, 2021.